Individual
MICHAEL B DEGRANDPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8260 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 764-6111
Mailing address
PO BOX 3648, WILLIAMSBURG, VA 23187-3648
(757) 221-7111
(757) 221-8085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-15582
NC
363A00000X
Physician Assistant
Primary
0110001114
VA
Other
Enumeration date
06/15/2006
Last updated
02/17/2026
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